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Vitamin B Prevent Lung Cancer

Vitamin B Prevent Lung Cancer - Vitamin B is better known for maintaining good brain health. But the new study suggests vitamin B also lowers the risk of lung cancer, even in smokers.

A study of 400,000 people showed that levels of vitamin B6 and amino acids methionin enough in the body will reduce the risk of lung cancer by half. Nevertheless, the experts emphasized that quitting smoking is much more effective for preventing lung cancer.

"Increasing your intake of vitamin B will never be the same effect with if we stop smoking," said Dr.Panagiota Mitrou from the World Cancer Research Fund, one of the researchers.

Research is still preliminary in nature is certainly need further research to prove whether the vitamin is widely available in nuts, fish, or meat is indeed effective in preventing lung cancer.

Even so, the former smokers or people who have never smoked can still do something positive, such as sufficient for vitamin B, to reduce the risk of lung cancer.
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Relaxation exercises may benefit asthmatics

I can personally attest that knowing how to relax is very beneficial to asthmatics.  The following is a post I wrote on this topic for Healthcentral.com.

"Relaxation exercises for asthmatics may benefit you," originally published April 14, 2011

I mentioned in my post about breathing exercises that I should write a post about my experience with asthma, anxiety, and relaxation exercises.  That time has arrived.

Studies have linked asthma with anxiety disorders, and as a lifelong asthmatic I can tell you I've had my share of anxiety. This was especially true when I was a kid. Something what really helped me to control my anxiety was a method called Progressive Muscle Relaxation.

The stress of an asthma attack in itself can cause anxiety. Yet new wisdom confirms that anxiety may exists even while asthma is controlled, or even if asthma goes into hibernation. In fact, anxiety is up to six times more likely in asthmatics than non-asthmatics.

The reason the link remains a mystery. Likewise, it's not known if asthma came first or if the anxiety came first.

Regardless, I remember my first bout with anxiety/ depression. It came in November of 1976. I was a six year old kid and my great grandpa passed away. I remember pacing the living room for hours mulling this over in my head while the rest of my siblings went about their normal playful routine.

I also remember this effecting me in school. I remember in music class while the other kids were singing I couldn't get death out of my head. This was a recurring theme that repeated itself at least once a year. It wasn't always death that triggered an episode.

My mom even reminded me recently about how I'd worry "so much as a kid." She said she'd worry about me because I'd worry so much. Once my mom even grounded me from watching the news because I'd worry about the bad news. I'd be afraid that killer would find his way to our house, or sneak in my bedroom window.

I also remember being nervous and anxious especially around other people. Unfortunately, I was never diagnosed with anxiety until I was admitted to National Jewish Hospital in 1985 for my asthma. It was there that doctors were aware of the asthma-anxiety link.

While helping me get my asthma under control, they also helped me with my anxiety. This was key because not only is anxiety an asthma trigger, anxiety can also effect the way you take care of youself. If you're anxious, you may not be taking your medicines properly; you may not be compliant; you may not be a gallant asthmatic.

In retrospect, I know this is true. However, I was in a major state of denial back then. Tell a 15-year-old who knows everything he has an anxiety disorder and it's only natural he will deny it. Yet most of us wise up eventually.

To help me with my anxiety my doctors back then put me on an anti-anxiety medicine called Xanax, had me work with a counselor, see a psychologist, and encouraged me to participate in a relaxation classes held by one of the nurses once a week.

She took us young asthmatics to a calm, quiet location. In the spring of '85 she took us outside to a cool, shady area. She'd have us lie in the grass and close our eyes and concentrate on our breathing. She had us breathe slowly through our noses while doing diaphragmatic breathing.

She'd say something like, "Imagine an object, a tiny sun perhaps, in the air above you. Now picture this sun moving to your right foot. Curl your toes until you feel tension in your ankles, and hold it there. Hold it! Hold it! Concentrate on your breathing. Your stomach goes out when you inhale... and in when you exhale.... Now relax your foot.

"Now the sun moves over to your left foot..." She continued this process through the rest of the body all the way to the head. By the time she was finished I'd feel the weight of my body, completely relaxed.

Then she would continue talking, her voice alone soothing, "Now picture yourself at some happy place. Perhaps you're walking along a beach. Now you can hear the waves." Here she might turn on a tape so we could hear the waves. "You can feel your body melting away, blending to the soft sand behind your back."

Eventually she would stop talking, and almost always I hoped she would continue. I never once fell asleep during these classes, yet many times I could hear snoring or heavy breathing by the other kids.

I wanted the relaxation to last a long time, and I wanted to appreciate every moment, so I didn't let myself fall asleep like some of the kids did. 

Sometimes we'd lie there like that, all relaxed, all concentrating on our breathing (or sleeping), for up to a half hour. And when she finally said the class was over, we'd all pick ourselves awkwardly off the ground feeling like wet noodles.

To this day I still use this method, sometimes several times during the day. Sure I still have anxiety, yet I control it instead of the other way around.  I haven't used anxiety medicine since 1985, and if you met me today you'd never guess I had this history (at least I'd hope not).

Being a well-educated adult helps a great deal, and admitting I have this anxiety helps too. Yet when needed, the methods I learned from the good people at National Jewish have come in use many times.

It's helped me many times to get a grip on those tense, stressful moments. It also helps when my asthma is acting up. Relaxation exercises, along with breathing exercises, are proven to help control asthma, reduce symptoms, and help you with your overall wellbeing.

National Jewish Health provides a good picture of what Progressive Muscle Relaxation is all about. To learn more click here.
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What is the microflora hypothesis of asthma?

The following post is from healthcentral/asthma.

"The microflora hypothesis of asthma and allergies."  (Originally published

It's a proven fact asthma rates are on the rise in Western nations like the U.S. and U.K.  In the past pollution was blamed.  Yet with pollution on the decline and asthma rates still rising, many experts are looking at other theories.

Two theories gaining acceptance are the hygiene hypothesis and the microflora hypothesis.

The hygiene hypothesis pretty much proposes allergies and allergic are caused because we're too clean.  In the absence of bacteria our immune system gets bored and attacks things we consider normal -- like allergens.

I simplified the hygiene hypothesis in a previous post.  If you're not familiar with it I recommend you click here.  In this post I'd like to introduce you to the microflora hypothesis.

First a few definitions:

Normal Flora:  According to the Online Textbook of Bacteriology these are tiny little microbes that cover the surface areas of your body, including your skin and mucus membranes.  This consists of some fungi, but mostly bacteria.  Their main job is to prevent the growth of bad bacteria.

Microflora:  According to thefreedictionary.com these are normal flora of a specific location, such as the intestines.

Probiotics:  This is simply a synonym for normal flora.

So what is the microflora hypothesis?

It's actually similar to the hygiene hypothesis only it goes a step further.  It states microbes in your intestinal tract (microflora) work together with your immune system to keep your immune system working right.

An imbalance of these microbes any time in your life can cause your immune system to develop an inappropriate response.  This may best explain why asthma can be developed at any time in your life.

So what causes microflora to become imbalanced?

Two things in our modern, industrialized way of life are suspected to cause such an imbalance:
  • 1. Antibiotics
  • 2. Dietary changes
So, how might antibiotics cause an imbalance of microflora?

Antibiotics:  These were considered to be a godsend to the medical field when they hit the market in 1944, as they allowed doctors to treat and prevent infection. While these are good, there are consequences to antibiotic abuse:
  • Some bacteria are smart: They catch on and develop resistance to antibiotics and this forces us to invent more powerful antibiotics.
  • Some antibiotics kill too much: Instead of killing just the infecting bacteria we were also killing the good bacteria we need to maintain balance
  • Antibiotics only kill bacteria: Actually we knew this all along, but I just thought I'd add it here to make a point.
While antibiotics are only able to treat bacterial infections, they were -- and often still are -- prescribed to treat any infection, even viral.  Often they are ordered just so you think the doctor is doing something.  You have asthma symptoms; you have a cold, so you expect antibiotics.

In fact, this study shows that way too many asthmatic kids are being prescribed antibiotics to treat asthma even though doctors know they aren't recommended in the treatment of asthma.  It's expected many doctors order them just to "cover their bases."

Yet it's a common fact the most common asthma triggers are viral infections.  So treating your sickness with an antibiotic is useless unless you really have a bacterial infection.

The most common antibiotic prescribed would be broad spectrum antibiotics.  These kill more than one type of bacteria, yet the hope is they'd kill the culprit.  The problem with these is they kill the good along with the bad.

Narrow spectrum antibiotics can also be prescribed.  These are antibiotics that only kill the desired bacteria.  Yet to prescribe them in the office without further testing would be a crap shoot.  To pick the right one you're sputum must be tested to identify the bacteria.  If no bacteria are identified, antibiotics will be useless.

If bacteria are identified further testing can be done to see what antibiotic kills it.  In this case, a broad spectrum antibiotic can be selected.  The problem with all this is it takes time and money.

So most often your doctor will skip all this testing and just give you the antibiotics you want.  You're happy, he's covered all his bases, and you eventually get better.

The solution to this problem might be simple:
  • Avoid antibiotics use.
  • If antibiotics are needed,narrow spectrum antibiotics should be used.
Modern diet:  According to The Probiotic Revolution, "people in industrialized countries eat significantly more fast food and refined foods, and much less fiber.  They're also less likely than people in the developing world to rely on fermentation to preserve goods -- thus depriving themselves of a ready source of probiotics."

The solution to this problem might also be simple.  Eat more of the following:
  • Whole grains
  • Nuts
  • Fruits
  • Vegetables
  • Probiotic supplementation
Probiotic supplementation:  As far as a cure for asthma and allergies, some studies have been ongoing to determine certain therapies can be done to restore the imbalance of probiotics in the gut. Studies are ongoing to see if this prevents or treats allergies.

Since 75 percent of asthmatics also have allergies, the hope is probiotic supplementation will also prevent and treat asthma as well.  Studies are ongoing, and we'll have to wait and see how they turn out.

So there you have it:  the microflora hypothesis.  It's one of several theories of what might cause one to develop asthma.  What do you think?

Click here for a more in depth discussion of this hypothesis. 
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If you're a fool with your money, don't come crying to me when it runs out

Fools get caught in the money trap!
Last summer it was slow at the RT Cave.  In fact, it was so slow we were losing about half our hours each week.  It didn't bother me so much because my wife and I were prepared for such a lull.  I was actually enjoying the extra time off.  Yet my coworker Paul wasn't prepared.

When he approached me I could tell right away he was distraught.  He said, "You know, Rick, it's unfair that we have to have so many days off lately.  If they complain about me getting a second job I'm going to blow up."

"I don't mean to sound rude," I said, "but you're barking up the wrong tree."

"What?  Why do you say that?  I only worked 24 hours last week. I could work another job and make up for the lack of hours."

"Well, if you didn't spend all your money on everything you wanted when the going is good and the money is flowing in, you wouldn't have to worry about losing hours, and you would need a third job."

His eyebrows seemed to cross and his lips curled, yet he didn't say anything. 

"Look, I said, you wanted to hunt, and you spent a thousand dollars on all that hunting gear that sits in your garage.  You took up fishing and now you have a boat and fishing gear sitting in that storage facility you pay a hundred bucks a month to rent.  If I remember right, that's also where you story your $250 a month camper you bought on a lease.  You have two leased cars in your garage, and you also have two jet skiis, two snowmobiles, two motorcycles and then there's that brand new car you bought for your daughter.  Add that stuff up and add them to all the other toys you have in your brand new home and it's easy to see why you have to work three jobs."

Of course this discussion didn't really happen, yet if I were completely honest with some of my coworkers, friends and family members I'd be having this discussion with many of them.  They complain about not being able to pay their bills, and yet they spend money like it were never going to stop coming in.  They never prepare for the inevitable recession or slow time.  And in the hospital, business has its normal cycles of up and down, just like the economy.

Our politicians want you to spend your money unwisely, and that is why -- I think -- it isn't taught in school how to wisely spend your money.  This is also the reason for bubbles when the economy is good (Internet Bubble, Housing Bubble, etc.) and it's also the reason people panic when the bubbles inevitably burst.

The same can be said of governments.  If those in Washington were as wise with their money as the frugal citizen, America would not be billions of dollars in debt.  If state governments wouldn't have been unwise with our money in the 1990s, they wouldn't be fearing bankruptcy.  Industries who plan and prepare and spend frugally wouldn't need bailouts.

If your work hard and spend your money wisely and go into hard times, then I'll feel sorry for you and maybe even help you out.  Yet if you are a fool with your money, don't come crawling to me with your sob stories. 

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I like physician's assistants (PAs)

I love physician's assistants (PA).  They practice medicine under a licenced physician, yet often times they seem to be wiser than doctors.  Not always is this true, but quite often.  I think the reason is because they worked as nurses and RTs. 

PAs don't seem to order useless breathing treatments because they've worked at the bedside long enough, and with RTs, to know they don't do anything for all that wheezes and all dyspnea. 

Many doctors are completely oblivious to what really works for patients, at least when it comes to respiratory stuff, and so they tend to order whatever they were taught to order.  Sometimes they even order out of habit. 

PAs tend to assess and order therapies based on that assessment, and doctors tend to go down the list of procedures in their head and treat all patients with a given disease the same, kind of like an order set. 

Doctors tend to be more autocratic, and don't like to give autonomy to RTs.  PAs love to ask RTs what they think, and tend to be more a part of the team. 

What I write here is not always the case, yet it tend to be often enough.  PAs tend to be happier and nicer on the phone and in person.  They tend to be more open minded and friendlier in general.  Again, not always, yet quite often.


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Wishes and prayers

Kings 3: 5-12
Romans 8: 28-30
Matthew 3: 44-52

The three brothers were excited to throw their pennies into the wishing well.  The eldest wished for a new bike.  The middle brother wished for a new shotgun.  The youngest -- the one who was in Kindergarten, wished to be allowed to go to church each Sunday and for his family to be kept together.

The eldest brother said, "Oh come on!  Why would you waste your wish on something so stupid.  You're supposed to ask for something useful."

Ironically, the only wish that was granted was the wish of the youngest brother.  The point of this tale is that we often wish for things that we really don't need, and those wishes aren't granted. 

If you had one wish what would you wish for. What do you pray for?

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Ativan Nebs: A treatment whose time has come

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Ativan NebulizersA treatment whose time has come

Yes it's true! The time has finally arrived for respiratory therapists to dole out Ativan nebs instead of Albuterol.  The evidence for this change is abundant, as you probably already know.

Albuterol is often ordered to treat all annoying lung sounds, dyspnea, and lung diseases. Yet studies show only 10 percent of these aerosols benefit the patient.

The result here -- as you well know -- is exuberant waste that results in RTs being lowered to the level of neb jockeys.  The end result is respiratory therapy apathy syndrome, or RATS.

We here at RATS Pharmaceuticals recommend you skip the Albuterol -- unless true bronchospasm is present -- and give Ativan nebs instead.  Not only does Ativan have a greater benefit to the patient, it improves morale of patient caregivers

Ativan* (scientifically referred to as lorazepam) is an anxiolitic good for relaxing any dyspneic patient, allowing them to get a good nights sleep.  The forced audible expiratory wheezes caused by over hydration, dehydration and exaggeration will all be gone. 

Your confused and demanding patient will now sit in a recliner with a smile firmly implanted on his face instead of persistently pressing on his call button. Patient anxiety, nervous tension, depression, and restlessness will all be gone. 

Sundowners often take night shifters away from their fun and games, yet not anymore that Ativan is in the air.  Now patients are calm and tranquil and all snug under blankets. Your patients and their nurses will delve into la-la land instead of calling for a therapist.

Irritable family members smile and drool instead of taking up your time.  Doctors benefit too as Ativan aerosols waft in the air for up to six hours following a thorough 10 minute treatment of 1-2 mg of Ativan solution.

Aerosolizing Ativan will create a peaceful and tranquil milieu throughout the entire hospital.  Respiratory Therapists will find joy in doling out nebulziers, and Respiratory Therapy Apathy Syndrome, burnout, and Monday Morning Blues will be disorders long forgotten.

Ativan is one member of a group of benzodiazepines that work by enhancing the effect of gamma-aminobutyric acid (GABA), a brain chemical that is naturally calming.  GABA can slow down or stop certain nerve signals in the brain.  As a result, Ativan has several effects on the body, including:
  • Reducing anxiety  (treats your restless patient)
  • Causing sleepiness (takes care of sundowners)
  • Relaxing muscles (for that calming effect)
  • Stopping seizures (to quelch those fits of anger)
  • Impairing short-term memory loss (so the annoying ones don't remember your name)
Ativan Nebs: A treatment whose time has come.  To start an Ativan Neb program at your hospital, please call your local RATS representative.

*Side effects to Ativan are generally mild and rare.  Ativan can cause confusion and delirium, especially in the elderly. High doses, especially for patients with lung diseases, may cause a patient to forget to breath, resulting in respiratory failure and death.  Ativan is not a remedy for any disease condition, including bronchospasm, and -- like Albuterol -- it only treats symptoms.  It may induce dizziness and unsteadiness, so it's greatly recommended workers inhaling it avoid staircases, cooking, or excessive thought.  Any persons exposed to Ativan aerosols should avoid driving motorized vehicles for up to 24 hours and should arrange for rides.  For future reference, please note again that Ativan Nebs do not cause bronchodilation.  May also cause urge to want to nap at work, and this urge should not be resisted.  May also cause hair loss, fun and orgasms. 
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